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	James L. Holly, M.D.

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Letters - Hypertension Collaboration with the AMA

From: "Wagner, Ed"

Date: September 2, 2015 at 1:57:54 PM CDT

Subject: Hypertension collaboration with the AMA

Dear colleagues,

Hope all is well .

We are collaborating with the AMA quality improvement folks on a program to help primary care practices improve the control of their hypertensive patients. The AMA has developed a checklist of actions that lead to better BP management and control. The checklist is attached. AMA asked us to get involved since many of the actions on the checklist involve the whole practice team. Our role will be to describe how LEAP sites with benchmark BP performance use their staff and systems to manage BP (and carry out checklist steps), and provide case studies and tools to help other practices.

You may not remember, but you shared performance data with us back when we were selecting the LEAP sites. The data you shared with us seemed to indicate that your clinic provided excellent hypertension care. What is the most recent percentage of your hypertensive patients with BPs 140/90? Would you and other relevant folks from your clinic be willing to talk with us about your management of high blood pressure? We can probably get what we need from a single phone call. Thanks for considering this.

From: "James L. Holly" <jholly@jameslhollymd.com>

Date: September 2, 2015 at 2:41:05 PM CDT

To: "Wagner, Ed" <wagner.e@ghc.org>

Subject: Re: Hypertension collaboration with the AMA

The following link gives the percentage of patients with blood pressure below 140/90. January 1, 2015 - June 30, 2015.

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-HEDIS-Effectiveness-of-Chronic-Care-Clinic-Only.pdf

The following are the AMA's PCPI Measurement Set's which SETMA has been tracking.

http://jameslhollymd.com/public-reporting/PCPI

The following is SETMA's reporting of the AMA's Physician Consortium for Performance Improvement's Hypertension Measurement Set for 2009-2015.

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-Physician-Role-in-Hypertension-Management.pdf

This is SETMA'S original application to RWJF -- including index and hyperlinks

http://jameslhollymd.com/letters/Robert-Wood-Johnson-Foundation-PCT-LEAP

The following link is to SETMA's Hypertension Disease Management Tool Tutorial. On page 111 the PCPI measures are displayed

http://jameslhollymd.com/EPM-Tools/pdfs/hypertension-tutorial.pdf

We would be happy to discuss this work

James (Larry) Holly, M.D.
C.E.O. SETMA
www.jameslhollymd.com

Adjunct Professor
Family & Community Medicine
University of Texas Health Science Center
San Antonio School of Medicine

Clinical Associate Professor
Department of Internal Medicine
School of Medicine
Texas A&M Health Science Center

Date: September 3, 2015 at 9:59:45 AM CDT

To: "Wagner, Ed" <wagner.e@ghc.org>

Subject: Re: Hypertension collaboration with the AMA

These audits show hypertension control below 140/90 in six different audits including HEDIS, PCPI, National Quality Forum -- hypertension and Hypertension in Diabetes

HEDIS Measures -- Effectiveness of Chronic Care in Clinic Only

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-HEDIS-Effectiveness-of-Chronic-Care-Clinic-Only.pdf

HEDIS Measures -- Effectiveness of Chronic Care Diabetes Blood Pressure Control

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-HEDIS-Effectiveness-of-Chronic-Care-Diabetes-Blood-Pressure-Control.pdf

AMA PCPI -- diabetes Consortium Blood Pressure Management -- Very Interesting Data Analysis

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-Diabetes-Consortium-Blood-Pressure-Management.pdf

HEDIS -- Effectiveness of Chronic Care Persistent Medications --ACE/ARB

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-HEDIS-Effectiveness-of-Chronic-Care-Persistent-Medications-MPM.pdf

National Quality Forum -- Diabetes Measures Blood Pressure Control

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-NQF-Diabetes-Measures-Blood-Pressure-Control.pdf

NAtional Quality Forum -- GeneralHealth Measures -- Hypertension (All patients 18 and older; blood pressure taken; Blood pressure controlled -- 140/80; BP Plan of Care Completed)

http://jameslhollymd.com/public-reporting/reports/2015/SETMA.com-2015-NQF-General-Health-Measures.pdf

Related Letters

	September 19, 2016 Letter From Ed Wagner Regarding Hypertension Treatment

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